Active NPI
Elizabeth Anne Hatch
- Orthopedic Physical Therapist
- Silver Spring, MD
National Provider Identifier
1679071278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 20789
- Practice address
- 11711 Galt Ave
Silver Spring, MD 20902-2709 - Phone
- (713) 410-0428
- NPI assigned
- Jan 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 20789 | MD | |
| Orthopedic Physical Therapist | 2251X0800X | 20789 | MD | Primary |
Addresses
Primary practice location
11711 Galt Ave
Silver Spring, MD 20902-2709
Mailing address
11711 Galt Ave
Silver Spring, MD 20902-2709
Phone (713) 410-0428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20789 | MD | MD | Sports Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517184000000",
"number": "1679071278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11711 GALT AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209022709",
"telephone_number": "713-410-0428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11711 GALT AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209022709",
"telephone_number": "713-410-0428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCH",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-29",
"last_updated": "2018-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "MD",
"license": "20789",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MD",
"license": "20789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.